文章基本信息

标题：Competency-based simulation assessment of resuscitation skills in emergency medicine postgraduate trainees – a Canadian multi-centred study
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作者：J. Damon Dagnone ; Andrew K. Hall ; Stefanie Sebok-Syer 等
期刊名称：Canadian Medical Education Journal
电子版ISSN：1923-1202
出版年度：2016
卷号：7
期号：1
页码：1-11
DOI：10.36834/cmej.36682
出版社：Canadian Medical Education Journal
摘要：Background: The use of high-fidelity simulation is emerging as a desirable method for competency-based assessment in postgraduate medical education. We aimed to demonstrate the feasibility and validity of a multi-centre simulation-based Objective Structured Clinical Examination (OSCE) of resuscitation competence with Canadian Emergency Medicine (EM) trainees.Method: EM postgraduate trainees (n=98) from five Canadian academic centres participated in a high fidelity, 3-station simulation-based OSCE. Expert panels of three emergency physicians evaluated trainee performances at each centre using the Queen’s Simulation Assessment Tool (QSAT). Intraclass correlation coefficients were used to measure the inter-rater reliability, and analysis of variance was used to measure the discriminatory validity of each scenario. A fully crossed generalizability study was also conducted for each examination centre. Results: Inter-rater reliability in four of the five centres was strong with a median absolute intraclass correlation coefficient (ICC) across centres and scenarios of 0.89 [0.65-0.97].
关键词：Simulation; OSCE; competency-based; resuscitation; multi-centred